Evidence map›Paper›PMID 38436680›Full record

ArticleJournal of neurology2024

Effectiveness and tolerability of brivaracetam in patients with epilepsy stratified by comorbidities and etiology in the real world: 12-month subgroup data from the international EXPERIENCE pooled analysis.

Jerzy P Szaflarski, Hervé Besson, Wendyl D'Souza, Edward Faught, Pavel Klein, Markus Reuber, Felix Rosenow, Javier Salas-Puig, Victor Soto Insuga, Bernhard J Steinhoff and 7 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
4.2field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 11 citations in OpenAlex.

  1. Review
  2. Article
  3. Brivaracetam-associated manic episode in a patient with bipolar disorder: A case report.PCN reports : psychiatry and clinical neurosciences · 2026
    Article
  4. Review
  5. Article
  6. Observational
  7. Brivaracetam use in clinical practice: a Delphi consensus on its role as first add-on therapy in focal epilepsy and beyond.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Article
  8. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 15 institutions in 7 countries.

Jerzy P SzaflarskiUniversity of Alabama at Birmingham (UAB) Heersink School of Medicine Department of Neurology and UAB Epilepsy Center, Birmingham, AL, USA. jszaflarski@uabmc.edu.ORCID http://orcid.org/0000-0002-5936-6627
Hervé BessonUCB Pharma, Breda, Netherlands.
Wendyl D'SouzaDepartment of Medicine, St Vincent's Hospital Melbourne, The University of Melbourne, Melbourne, VIC, Australia.ORCID http://orcid.org/0000-0002-1750-5131
Edward FaughtEmory Epilepsy Center, Atlanta, GA, USA.
Pavel KleinMid-Atlantic Epilepsy and Sleep Center, Bethesda, MD, USA.
Markus ReuberThe University of Sheffield, Sheffield, UK.
Felix RosenowEpilepsy Center Frankfurt Rhine-Main, Department of Neurology, Goethe University Frankfurt, Frankfurt, Germany.ORCID http://orcid.org/0000-0002-3989-7471
Javier Salas-PuigUniversitari Vall d'Hebron, Barcelona, Spain.
Victor Soto InsugaPediatric Neurology, Hospital Universitario Infantil Niño Jesús, Madrid, Spain.
Bernhard J SteinhoffKork Epilepsy Center, Kehl-Kork and Medical Faculty, University of Freiburg, Freiburg, Germany.ORCID http://orcid.org/0000-0001-5995-5862
Adam StrzelczykEpilepsy Center Frankfurt Rhine-Main, Department of Neurology, Goethe University Frankfurt, Frankfurt, Germany.ORCID http://orcid.org/0000-0001-6288-9915
Dimitrios BourikasUCB Pharma, Alimos, Greece.
Tony DanielsUCB Pharma, Morrisville, NC, USA.
Florin FloricelUCB Pharma, Monheim am Rhein, Germany.
David FriesenUCB Pharma, Slough, England, UK.
Cédric LaloyauxUCB Pharma, Brussels, Belgium.
Vicente VillanuevaRefractory Epilepsy Unit, Hospital Universitario y Politécnico La Fe, EpiCARE member, Valencia, Spain.ORCID http://orcid.org/0000-0003-2080-8042
Goethe University Frankfurt · DEEmory and Henry College · USHospital Infantil Universitario Niño Jesús · ESHospital Universitari i Politècnic La Fe · ESMid Atlantic Epilepsy and Sleep Center · USThe University of Melbourne · AUUCB Pharma (Belgium) · BEUCB Pharma (Germany) · DEUCB Pharma (Netherlands) · NLUCB Pharma (United Kingdom) · GBUCB Pharma (United States) · USUniversity of Alabama at Birmingham Hospital · USUniversity of Freiburg · DEUniversity of Sheffield · GBVall d'Hebron Hospital Universitari · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the effectiveness and tolerability of brivaracetam (BRV) in adults with epilepsy by specific comorbidities and epilepsy etiologies.

methodsEXPERIENCE/EPD332 was a pooled analysis of individual patient records from several non-interventional studies of patients with epilepsy initiating BRV in clinical practice. Outcomes included ≥ 50% reduction from baseline in seizure frequency, seizure freedom (no seizures within prior 3 months), continuous seizure freedom (no seizures since baseline), BRV discontinuation, and treatment-emergent adverse events (TEAEs) at 3, 6, and 12 months. Analyses were performed for all adult patients (≥ 16 years of age) and stratified by comorbidity and by etiology at baseline (patients with cognitive/learning disability [CLD], psychiatric comorbidity, post-stroke epilepsy, brain tumor-related epilepsy [BTRE], and traumatic brain injury-related epilepsy [TBIE]).

resultsAt 12 months, ≥ 50% seizure reduction was achieved in 35.6% (n = 264), 38.7% (n = 310), 41.7% (n = 24), 34.1% (n = 41), and 50.0% (n = 28) of patients with CLD, psychiatric comorbidity, post-stroke epilepsy, BTRE, and TBIE, respectively; and continuous seizure freedom was achieved in 5.7% (n = 318), 13.7% (n = 424), 29.4% (n = 34), 11.4% (n = 44), and 13.8% (n = 29), respectively. During the study follow-up, in patients with CLD, psychiatric comorbidity, post-stroke epilepsy, BTRE, and TBIE, 37.1% (n = 403), 30.7% (n = 605), 33.3% (n = 51), 39.7% (n = 68), and 27.1% (n = 49) of patients discontinued BRV, respectively; and TEAEs since prior visit at 12 months were reported in 11.3% (n = 283), 10.0% (n = 410), 16.7% (n = 36), 12.5% (n = 48), and 3.0% (n = 33), respectively.

conclusionsBRV as prescribed in the real world is effective and well tolerated among patients with CLD, psychiatric comorbidity, post-stroke epilepsy, BTRE, and TBIE.

Indexed as

AnticonvulsantsComorbidityEpilepsyPyrrolidinonesAdolescentAdultAgedFemaleHumansMaleMental DisordersMiddle AgedTreatment OutcomeYoung AdultAnticonvulsantsbrivaracetamPyrrolidinonesBrivaracetamComorbidityEffectivenessEtiologyReal worldTolerability

Identifiers

PMID38436680
PMCPMC11136785
OpenAlexW4392376245

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.